Individual
DR. DWIGHT MASAICHI TAMANAHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1075 BROOKWOOD DR, GREEN BAY, WI 54304-4135
(920) 496-6000
(920) 496-0998
Mailing address
1075 BROOKWOOD DR, GREEN BAY, WI 54304-4135
(920) 496-6000
(920) 496-0998
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
WI2714-012
WI
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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